# WALDMAN PLASTIC SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waldman & Schantz Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548307085
- **Authorized official:** DR. S. RANDOLPH WALDMAN M.D. (M.D.)
- **Authorized official phone:** (859) 254-5665

## Contact information

- **Practice address:** 125 E MAXWELL ST, SUITE 303, LEXINGTON, KY 40508-2678
- **Practice address phone:** (859) 254-5665
- **Practice address fax:** (859) 281-6825
- **Mailing address:** 125 E MAXWELL ST, SUITE 303, LEXINGTON, KY 40508-2678
- **Mailing address phone:** (859) 254-5665
- **Mailing address fax:** (859) 281-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19124 | KY | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020